Healthcare Provider Details
I. General information
NPI: 1962738542
Provider Name (Legal Business Name): TRINITY HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/02/2009
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1321 W DAKOTA PKWY
WILLISTON ND
58801-3807
US
IV. Provider business mailing address
PO BOX 5020
MINOT ND
58702-5020
US
V. Phone/Fax
- Phone: 701-572-7711
- Fax: 701-572-0566
- Phone: 701-418-8000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0200X |
| Taxonomy | Radiology Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
KUTCH
Title or Position: CEO
Credential:
Phone: 701-418-8000